Dr Russell W Jennings, MD in St Petersburg, FL

Dr Russell W Jennings, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in St Petersburg, Florida. His current practice location is 601 5th St S, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 767-4170.

Dr Russell W Jennings is licensed to practice in Florida (license number ME153478) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215956701.

Contact Information

	Dr Russell W Jennings, MD
	601 5th St S, St Petersburg, FL 33701-4804
	(727) 767-4170
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Russell W Jennings
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	601 5th St S, St Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215956701
Provider Enumeration Date: 07/18/2006
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8527095181
Enrollment ID: I20220302000803

Medical Identifiers

Medical identifiers for Dr Russell W Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215956701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	79209 (Massachusetts)	Secondary
2086S0120X	Surgery - Pediatric Surgery	79209 (Massachusetts)	Secondary
2086S0120X	Surgery - Pediatric Surgery	ME153478 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Russell W Jennings allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Physician Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Russell W Jennings is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Russell W Jennings, MD 601 5th St S, St Petersburg, FL 33701-4804 Ph: (727) 767-4170	Dr Russell W Jennings, MD 601 5th St S, St Petersburg, FL 33701-4804 Ph: (727) 767-4170

Reviews and Comments

Surgery Doctors in St Petersburg, FL

Steven M Levine, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4957 38th Ave N, Suite C, St Petersburg, FL 33710 Phone: 727-521-4402 Fax: 727-521-1622
Dr. Eugene A Murphy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 10th Street N., St Petersburg, FL 33705 Phone: 727-824-8209 Fax: 727-824-7154
Dr. Robyn Michele Ache, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Carillon Pkwy, Suite 401, St Petersburg, FL 33716 Phone: 727-289-7137 Fax: 727-498-6418
Hester Fay Shieh, MD Surgery Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 480-221-0355
Dr. Keith Andrew Thatch, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 5th St S Ste 306, St Petersburg, FL 33701 Phone: 727-767-3439 Fax: 727-767-4346
Chun Kevin Yang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 960 7th Ave N, St Petersburg, FL 33705 Phone: 277-821-8101 Fax: 727-825-1357
Caitlin J Crosier, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 5th St S Ste 605, St Petersburg, FL 33701 Phone: 727-767-8679 Fax: 727-767-8804

Dr Russell W Jennings, MD - Medicare Surgery in St Petersburg, FL